Indololwane ephumile ibaluleke kakhulu ukuyelapha ngokushesha ukuze ingathinti umsebenzi wakho wansuku zonke kanye nempilo yakho, kodwa okokuqala udinga ukwazi ukuthi kungani unendololwane ephumile ihlangene nokuthi ungayiphatha kanjani ukuze ukwazi ukuyisebenzisa kahle!
Izimbangela zokukhumuka kwendololwane
Imbangela yokuqala iningi labantu abasebasha futhi ingabangelwa ubudlova obungaqondile. Ngokuvamile lapho umuntu ewa, intende yesandla iwela phansi bese ilunga lendololwane linwetshwa ngokugcwele, lelilunga liba namandla asheshayo, okungaholela ekuphumeni kwamalunga kanye nokuqhekeka kwelunga lendololwane.
Imbangela yesibili kungaba ukuthi njengoba abantu bekhula, amathambo abanye abantu ayaqina kakhulu futhi kukhona ukuntuleka koketshezi lokugcoba amalunga elunganeni, ngenxa yokuthi abantu bahambahamba kakhulu futhi abanaki kakhulu amandla okusetshenziswa okubalulekile empilweni evamile. Lokhu kuholela ekukhungathekeni okwandisiwe, okungabangela ukukhubeka kwelunga lendololwane ngokuhamba kwesikhathi.
Imbangela yesithathuukuhlukana kwamalungaokubangelwa ubudlova obuqondile, okungase kubangelwe ingozi ethile empilweni, njengengozi yemoto noma ezinye izimbangela zokuhlukana kwendololwane, kanti imbangela yesine ukuhlukana kwendololwane, okubangelwa ikhono lokufaka indandatho nxazonke zokunyakaza ngokweqile.
Ukwelashwa kwamalunga endololwane aphuke
Izinkomba zokuhlinzwa: (1) labo abahlulekile ukubekwa kabusha okuvaliwe, noma labo abangafaneleki ukubekwa kabusha okuvaliwe, lokhu akuvamile, kodwa ikakhulukazi kuhlanganiswe nokulimala okukhulu kwendololwane, njengokuphuka kwethambo le-ulnar hawk ngokuhlukana nokufuduka; (2) ukuhlukana kwendololwane kuhlanganiswe nokuqhekeka kwe-epicondyle ephakathi kwe-i-humerus, lapho ukuhlukana kwendololwane kusethwa kabusha, kodwa i-medial epicondyle ye-humerus ingakahlelwa kabusha, kufanele kwenziwe ukuhlinzwa ukuze kusethwe kabusha i-medial epicondyle noma i-internal fixation; (3) ukuhlukana kwendololwane endala, okungafaneleki ukuhlolwa (iii) ukuhlukana kwendololwane endala okungafaneleki ukunciphisa okuvaliwe: (iv) ukuhlukana okuthile okuvamile.
Ukubekwa kabusha okuvulekile: I-brachial plexus anesthesia, ukusikwa kwe-longitudinal ngemuva kwendololwane, ukuvezwa kwe-medial epicondyle ye-humerus kanye nokuvikelwa kwe-ulnar nerve. Kwenziwa ukusikwa kolimi lwe-tendon ye-triceps. Ngemva kokuvezwa kwe-elbow joint, izicubu ezithambile ezizungezile kanye nezicubu zesibazi ziyahlutshulwa ukuze kususwe i-haematoma, i-granulation kanye nezibazi emgodini wamalunga. I-boney end ye-joint iyahlonzwa futhi ibekwe kabusha. Izicubu ze-periarticular ziyathungwa. Ukuze kuvinjelwe ukuphinde kususwe, i-kerf pin ibekwa emlonyeni we-hawk iye ekugcineni okuphansi kwe-humerus bese isuswa ngemva kwesonto eli-1 kuya kwamabili.
I-Arthroplasty: Isetshenziswa kakhulu ekuqhekekeni okudala kwejoyinti lendololwane lapho ubuso be-cartilage bubhujiswe khona, noma lapho ijoyinti liqinile ngemva kokulimala kwendololwane. Ngaphansi kwe-brachial plexus anesthesia, kwenziwa ukusikwa kwendololwane ngemuva, kunqunywe i-triceps tendon bese kuvela iziphetho zamathambo zejoyinti lendololwane. Isiphetho esingezansi se-humerus siyasuswa, ingxenye ye-medial kanye ne-lateral condyles ye-humerus iyagcinwa, isiphetho se-ulnar eminence kanye nengxenye yethambo le-dorsal ziyasuswa, kanti isiphetho senqubo ye-rostral naso siyanqunywa sibe sincane, okulondoloza ubuso be-articular cartilage. Ikhanda le-radial alisuswa uma lingathinti ukunyakaza kwamalunga, ngaphandle kwalokho ikhanda le-radial liyasuswa. Uma isikhala esisha sejoyinti sincane, ingxenye ephakathi ye-humerus engezansi ingasuswa ngo-0.5 cm ukudala ukuhlukana kwesokudla. Ibanga elifanele lesikhala kufanele libe ngu-1 kuya ku-1.5 cm.
Ukuvimbela Ukuqhekeka Kwendololwane
Ngaphezu kwalokho, kufanele kuqashelwe ukuthi iziguli ezinamalungu ahlukene kufanele zishukumise amalunga azo kusenesikhathi futhi zithathe isinyathelo sokwenza imisebenzi yokwelula nokuguquguquka kanye nokujikeleza ingalo noma zifake i-physiotherapy ngemva kokukhululwa kwe-ukulungiswa, kodwa ukudonsa ngamandla ngokweqile kuthambekele ekubangeleni i-myositis egoqekile eduze kwejoyinti lendololwane.
Xhumana：
I-Yoyo
I-Whatsapp: +8615682071283
Email：liuyaoyao@medtechcah.com
Isikhathi sokuthunyelwe: Mashi-13-2023
